HomeMy WebLinkAbout2022-01-27-Jay-OCPF l
Form. CPF M 102: Campaign Finance Report
lug
Municipal Form
Office of Campaign and Political Finance
Commonwealth
of Massachusetts
File with: City or Town Clerk or T.Iectian Commission
Fill in Reporting Period dates: Beginning Date: 01/01/2021 Ending Date: 12/31/2021
Type of Report: (Check one)
❑ 8th day preceding preliminary ❑ 8th day preceding election ❑ 30 day after election Q year-end report ❑ dissolution
Eileen Jay Eileen Jay for SChool Committee
Candidate Full Name(if applicable) Committee Name
School Committee member Becky Barrentine
Orfice Sought and District Name of Committee Treasurer
191 Waltham Street, Lexington, MA 02421 100 Bedford Street, Lexington, MA 02420
Residential Address Committee Mailing Address
E-mail: E-mail: e.barrentine@gmail.com
Phone#(optional): Phone#(op(ional):
SUMMARY BALANCE INFORMATION:
Line 1: Ending Balance from previous report 1,115
Line 2: Total receipts this period(page 3,line 11) o
ttia
Line 3: Subtotal(line 1 plus line 2) 1,115rr ,`t
- ,l
Line 4: Total expenditures this period(page 5,line 14)
Line 5: Ending Balance(line 3 minus line 4) 1,115
`1
Line 6: Total in-kind contributions this period(page 6) 0
ZN
Line 7: Total(all)outstanding liabilities(page 7) 0
Line 8: Name ofbank(s)used: Citizens, PayPal
Affidavit of Committee Treasurer:
1 certify that l have examined this report including attached schedules and it is,to itue best of my knowledge and belief,a true and complete statement 0f811 campaign finance
activity,including all contributions,loans,receipts,expenditures,disbursements,in-kind contributions and liabilities for this reporting period and represents the campaign
finance activity of all persons acting under the authority or on behalf of this committee in accordance with the requirements of M.G.L.c.55.
Signed under the penalties of perjury. (Treasurer's signature) Date:
FOR CANDIDATE FILINGS ONLY; Affidavit of Candidate:(check 1 box only)
Candidate with Committee
I certify that I have examined this report including attached schedules and it is,to the best of my knowledge and belief,a true and complete statement of all campaign finance
activity,of all persons acting under the authority or on behalf of this committee in accordance with the requirements of M.G.L.c.55. I have not received any contributions,
h' P h' q Y
incurred any liabilities nor made any expenditures on my behalf during this reporting period that are not otherwise disclosed in this report.
Candidate without Committee
rryt I certify that I have examined this report including attached schedules and it is,to the best of my knowledge and bel€ef,a true and complete statement of all campaign
L�!J finance activity,including contributions,loans,receipts,expenditures,di5pursements,in-kind contributions and liabilities for this reporting period and represents the
campaign finance activity or all persons acting undo the autho oro ehalf of this candidate in accordance with the requirements of M.G,L.c.55.
Signed under the penalties of perjury: cw (Candidate's signature) Date:
1
L